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General NPI Number Information
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NPI Number | 1629486493
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Entity Type | Individual
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Provider Name | LAURA ELAINE BROWN LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 714 LYNDON LN STE 6
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City | LOUISVILLE
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State | KY
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Zip | 40222-4643
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Country | US
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Telephone | 502-588-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 1635 TAYLOR AVE
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City | LOUISVILLE
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State | KY
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Zip | 40213-1561
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Country | US
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Telephone | 25-609-7181
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 253238
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 253238
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License Number State | KY
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